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Beyond the Belly: Expanding your Aortic PoCUS

Beyond the Belly: Expanding your Aortic PoCUS

by Thariq Badiudeen, Paul Pageau | May 14, 2026 | Featured, Surgery, Ultrasound

Most emergency physicians are comfortable with the standard abdominal aortic aneurysm scan. However, that approach only visualizes the abdominal aorta. By adding three complementary views you can better assess aortic aneurysms and aortic dissections.  In this blogpost...
Beyond Weight Loss: ED Implications of the GLP-1 Era

Beyond Weight Loss: ED Implications of the GLP-1 Era

by Camille Dagenais | May 7, 2026 | Endocrinology, Featured, Gastroenterology, Grand Round Summaries, Resuscitation

GLP-1 receptor agonists have moved from niche diabetes therapies to some of the most commonly encountered medications in modern clinical practice. Drugs like semaglutide and tirzepatide are reshaping the management of obesity and cardiometabolic disease, with millions...
Journal Club: A Crossover Trial of Hospital-Wide Lactated Ringer’s Solution vs Normal Saline

Journal Club: A Crossover Trial of Hospital-Wide Lactated Ringer’s Solution vs Normal Saline

by Lucy Karp, Christian Vaillancourt | Apr 27, 2026 | Critical Care, Featured, Journal Club

A Crossover Trial of Hospital-Wide Lactated Ringer’s Solution versus Normal Saline McIntyre L, et al. Canadian Critical Care Trials Group. A Crossover Trial of Hospital-Wide Lactated Ringer’s Solution versus Normal Saline. N Engl J Med. 2025 Aug...
Traumatic Brain Injuries: A (m)BIG Headache

Traumatic Brain Injuries: A (m)BIG Headache

by Camille Dagenais | Apr 23, 2026 | Critical Care, Featured, Grand Round Summaries, Neurology, Neurosurgery, Resuscitation, Trauma

Traumatic brain injury (TBI) is a common yet challenging presentation in emergency medicine. As CT imaging becomes increasingly sensitive, clinicians are identifying more subtle intracranial injuries. The Brain Injury Guidelines (BIG) and Modified Brain Injury...
Liar, Liar, Clot on Fire: Is a Negative D-Dimer Always Enough?

Liar, Liar, Clot on Fire: Is a Negative D-Dimer Always Enough?

by Caroline Gregory | Apr 16, 2026 | cardiac arrest, Cardiology, Featured, Grand Round Summaries, Respirology, Resuscitation, Thrombosis

Venous thromboembolism, which includes deep vein thrombosis (DVT) and pulmonary embolism (PE), is one of the most commonly worked-up diagnoses in the emergency department. Approximately half of all DVTs embolize to the lungs, and the annual incidence of PEs is about 1...
Blood Pressure Targets in Trauma Resuscitation: The New Thinking

Blood Pressure Targets in Trauma Resuscitation: The New Thinking

by Mathieu McKinnon | Mar 26, 2026 | Anesthesiology, Critical Care, Featured, Grand Round Summaries, Resuscitation, Trauma

Blood pressure management in trauma is one of the most deceptively complex decisions we make in the emergency department. In the first hour of resuscitation, competing physiologic priorities collide: permissive hypotension may protect clot integrity in hemorrhagic...
Signal or Noise? Using Inflammatory Markers Wisely Through a Bayesian Lens

Signal or Noise? Using Inflammatory Markers Wisely Through a Bayesian Lens

by Lucy Karp | Mar 19, 2026 | Featured, Gastroenterology, Grand Round Summaries, Immunology, Infectious Disease, Most Viewed, Ophthalmology, Rheumatology

There seems to be a growing cultural obsession with “inflammation”. Scroll through social media long enough and you’ll find sweeping claims: inflammation is the root of fatigue, weight gain, menstrual cramps, brain fog, and even depression. And alongside this...
Smarter Starts and Safer Stops: Antibiotic Stewardship in the ED

Smarter Starts and Safer Stops: Antibiotic Stewardship in the ED

by Mejbel Alazemi | Mar 12, 2026 | Critical Care, Featured, Grand Round Summaries, Infectious Disease, Resuscitation

Antimicrobial stewardship (AMS) is about using the right antibiotic, only when needed, and choosing the appropriate dose, route, and duration. The goal is to treat infections effectively while reducing harm, both to the individual and to the healthcare system. It’s...
PTM Journal Club: Analgesia on the Ski Hill

PTM Journal Club: Analgesia on the Ski Hill

by Louis Gascon-Tetreault, Josee Malette | Mar 9, 2026 | Featured, Prehospital and Transport Medicine, PTM Journal Club

As the ski season peaks in February, learn how intranasal fentanyl as analgesia is becoming the go-to solution for ski patrols, ensuring rapid pain relief for injured skiers right on the hill in this months PTM Journal Club Review.    Background and Objectives:...
Vernakalant versus procainamide for rapid cardioversion of patients with acute atrial fibrillation (RAFF4): randomised clinical trial

Vernakalant versus procainamide for rapid cardioversion of patients with acute atrial fibrillation (RAFF4): randomised clinical trial

by Anchaleena Mandal, Christian Vaillancourt | Mar 5, 2026 | Featured, Journal Club

Methodology Score: 4.5/5 Usefulness Score: 4/5 Stiell IG, et al. BMJ. 2025 Nov 11;391:e085632. doi: 10.1136/bmj-2025-085632. Question and Methods: This is a multi-center, open-label, patient randomised trial comparing the effectiveness and safety of cardioversion with...
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